@misc{10481/69348,
year = {2016},
url = {http://hdl.handle.net/10481/69348},
abstract = {Decision-making is a complex issue especially in severe
multi-pathological patients, whose processes interact
with each other and with other treatments, making
it impossible to follow regular protocols. In this
case, the patient suffered from a cranioencephalic
traumatism and a pulmonary thromboembolism.
In the case of pulmonary thromboembolism, an
anticoagulation prophylaxis is recommended while
in the former it is contraindicated. Moreover,
complications may appear, apparently related or not
to main diseases. In these situations, it is essential
to establish priorities and have a vast knowledge of
patients' pathologies and the possible complications
that may emerge. Firstly, our aim was the resolution
of the brain trauma due to the mortal risk of brain
herniation. Straightaway we relieved the severe
subsequent complications of the main processes,
namely, refractory intracranial hypertension,
acute respiratory failure and thrombocytopenia.
Once the patient was stable, pulmonary
thromboembolism treatment could be set and
followed after clinical improvement and discharge.},
publisher = {Archivos de Medicina Universitaria},
keywords = {Management of the polypathological patient},
keywords = {Abordaje del paciente pluripatológico},
title = {To coagulate or not to coagulate. That is the question},
author = {de Mota Dengra, Elena and Hidalgo Manchado, Laura and Pérez Villares, José Miguel},
}